Australia has taken a big step forward in improving care for women and families affected by early pregnancy loss. New national clinical guidelines have now been released for the management of miscarriage, recurrent miscarriage, and ectopic pregnancy; setting a new standard for compassionate and consistent care across the country.
The guidelines, developed by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG), respond to long-standing calls for change. Until now, care varied widely depending on the clinician or hospital, often leaving women feeling dismissed or unsupported during one of the most vulnerable times of their lives.
Importantly, these guidelines include a revised definition of recurrent miscarriage, now recognised as two non-consecutive pregnancy losses, a change that acknowledges the emotional and physical toll that multiple miscarriages can have, even when not consecutive.
With up to one in four pregnancies in Australia ending in miscarriage, these reforms are not only welcome, but overdue. They represent the collective voices of those who have spoken out, shared their stories, and advocated tirelessly for better care. Organizations like the Early Pregnancy Loss Coalition (EPLC) have been instrumental in pushing for these changes. Their efforts have not only led to the creation of these guidelines but additional initiatives, such as a $9.5 million federal investment to support women who have suffered miscarriages, including funding for counselling, education, and improved data collection.
At Birth Trauma Law, we regularly hear from women and families who have felt ignored or invalidated during their early pregnancy loss. We understand how crucial it is to be heard, respected, and supported, and these new guidelines are a testament to what can be achieved through persistent advocacy and community pressure.
Changes like this remind us: progress is possible. By continuing to raise awareness and stand beside those affected, we can help build a system that truly honours and supports every birth story- including the ones that end in loss.
Link to further information:
New Australian guidelines for miscarriage and early pregnancy loss released – ABC News
C-Gyn 38 Miscarriage, Recurrent Miscarriage and Ectopic Pregnancy Clinical Guideline